To investigate whether preemptive analgesic of femoral nerve block could prevent deep venous thromboembolism due to inhibiting the excessive release of neutrophil elastase and inflammatory cytokines.
Femoral nerve block is an effective analgesic mode in patients after total knee arthroplasty. In recent studies, there has been shown that a large amount of neutrophil elastase release from neutrophils could induce the development of deep venous thromboembolism and femoral nerve block may reduce the incidence of the development of deep venous thromboembolism. In addition, inflammatory cytokines including interleukin-1(IL-1), IL-6, IL-8 and tumor necrosis factor(TNF) were associated with deep venous thromboembolism. Thus, the investigators hypothesised that preemptive analgesic of femoral nerve block could prevent deep venous thromboembolism due to inhibiting the excessive release of neutrophil elastase and inflammatory cytokines.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
PREVENTION
Masking
DOUBLE
Enrollment
120
use the nerve stimulator,the femoral nerve block will be administered before or after the surgery
General Hospital of Ningxia Medical University
Yinchuan, Ningxia, China
RECRUITINGSerum concentration of inflammatory cytokine
Time frame: change from baseline at 30min, 60min, 90min after using tourniquet and 12h, 24h,48h after operation
Concentration of related inflammatory factors of deep venous thromboembolism
inflammatory factors include IL-1, IL-6, IL-8 and TNF,detecting the concentrations by enzyme-linked immunosorbent assay (ELISA).
Time frame: change from baseline at 30min, 60min, 90min after using tourniquet and 12h, 24h,48h after operation
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